NPI | 1629371745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000361) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 277000361) |
Enumeration Date | 2010-12-11 |
Last Update Date | 2023-10-13 |